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NINA L KAZEROONI MD NPI 1003835208


NPI Information

NPI: 1003835208
Provider Name: NINA L KAZEROONI, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
7908 MONTEREY BAY DR
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 507-9318
Get Directions

Nina L Kazerooni, MD is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Nina L Kazerooni, MD NPI is 1003835208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7908 MONTEREY BAY DR
JACKSONVILLE, FL
ZIP 32256-934
Phone: (904) 507-9318

The enumeration date for this NPI number is 7/19/2006 and was last updated on 2/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingME82160FLORIDANo
22085N0700XRadiologyNeuroradiologyME82160FLORIDANo
32085N0904XRadiologyNuclear RadiologyME82160FLORIDANo
42085P0229XRadiologyPediatric RadiologyME82160FLORIDANo
52085R0204XRadiologyVascular & Interventional RadiologyME82160FLORIDANo
62085U0001XRadiologyDiagnostic UltrasoundME82160FLORIDANo
72085R0202XRadiologyDiagnostic RadiologyME82160FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H60709MEDICARE UPINFLORIDA
208689OTHERFLORIDABCBS
300938869AMEDICAIDGEORGIA
4300128019MEDICARE ID-TYPE UNSPECIFIEDGEORGIARAILROAD
5263628000MEDICAIDFLORIDA
608689MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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